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HomeMy WebLinkAboutCORRPRO COMPANIES INC - INSURANCE CERTIFICATE (2)ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/(YYY) �.� 7/1/2016 6/24/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies Three City Place Drive, Suite 900 St. Louis MO 63141-7081 (314) 432-0500 CONTACT NAME: PHONE EXt : AAII No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Greenwich Insurance Com anV 22322 INSURED Corrpro Companies, Inc. 1316495 1055 W. Smith Road Medina OH 44256 INSURER B : ACE American Insurance Com anV 22667 INSURER C : Indemnity Insurance Co of'North America 43575 INSURER D : Starr Indemnity & Liability Company 38318 INSURER E : INSURER F : COVERAGES CORC002 CERTIFICATE NUMBER: 11966279 RFVIRION NI IMRFR• XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR X Y N CGD3000849 XCU / BROAD FORM PD 7/1/2015 7/1/2016 EACH OCCURRENCE 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000 000 MED EXP (Any oneperson) 10.000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY JE � I LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 OTHER B AUTOMOBILE LIABILITY Y N ISAH0885886A 7/1/2015 7/1/2016 CO aBINEDtSINGLE LIMIT(Ea $ 2 000 000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY ( Per accident $ XXXXXXX NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $XXXXXXX $XXXXXXX D UMBRELLA LIAB IX' OCCUR Y N 1000095154151 7/l/2015 7/1/2016 EACH OCCURRENCE $ 5,000,000 x AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX B �' C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N❑ (Mandatory in NH) If yes, describe under DESCP.!PTlnM OF OPERATIONS below NIA Y WLRC48589042 (CA/MA) WLRC48589054(AOS) (EXCLUDING MONOPOLISTI 7/l/2015 7/1/2015 ) 7/l/2016 7/l/2016 PER OTH- X STATUTE FIR E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT I ,00U00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF FORT COLLINS - POUDRE CANYON 244, PIPELINE REFIABILITATION IS ADDITIONAL INSURED UNDER GENERAL LIABILITY ON A PRIMARY AND NON-CONTRIBUTORY BASIS WHERE APPLICABLE BY WRITTEN CONTRACT, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE NAMED INSURED'S OPERATIONS, AND ARE ADDITIONAL INSUREDS UNDER AUTOMOBILE LIABILITY AND UMBRELLA LIABILITY WHEN REQUIRED BY WRITTEN CONTRACT, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE NAMED INSURED's OPERATIONS. WAIVER OF SUBROGATION APPLIES UNDER WORKERS' COMPENSATION WHERE PERMISSIBLE BY LAW AS REQUIRED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS. CERTIFICATE HOLDER CANCELLATION 11966279 CITY OF FORT COLLINS - POUDRE CANYON 24# PIPELINE REHABILITATION 700 WOOD STREET FORT COLLINS CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 40. ACORD 25 (2014/01) ©1 The ACORD name and logo are registered marks of ACORD All riohts rPserveri